03D2141624 CLIA NUMBER - URGENT CARE

Laboratory Demographics

  • CLIA Code: 03D2141624
  • Facility Name: URGENT CARE
  • Facility Address: 2700 S WOODLANDS VILLAGE BLVD, STE 700
    FLAGSTAFF, AZ
    ZIP 86001
  • Facility Phone: 928 440-5406
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EUGENE CHARLEBOIS
  • NPI Number: 1154849610
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2141624
LAB Type Physician Office
Facility Name URGENT CARE
Street 2700 S WOODLANDS VILLAGE BLVD, STE 700
City FLAGSTAFF
State AZ
ZIP 86001
Phone 928 440-5406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director EUGENE CHARLEBOIS

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This page was last updated on: 9/29/2025